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Stigma Towards Female Clients Who Inject Drugs Among Healthcare Providers in Ukraine
Julia Burlaka1, Sarah D Phillips2, Polina Alpatova3
1Department of Public Health Education, School of Health and Human Sciences, University of North Carolina Greensboro, Greensboro, North Carolina, USA.
Substance Use & Misuse
|September 3, 2025
Summary
Healthcare providers in Ukraine often hold stigmatizing views towards women who inject drugs (WWID), influenced by societal biases and lack of familiarity. Addressing these attitudes requires confronting moral judgments and implementing patient-centered care regulations.
Area of Science:
- Public Health
- Sociology
- Healthcare Disparities
Background:
- Women who inject drugs (WWID) in Ukraine face significant barriers to healthcare access.
- Existing services lack integration, and bureaucratic hurdles exacerbate challenges.
- Healthcare providers' attitudes are influenced by societal stigma and lack of understanding.
Purpose of the Study:
- To explore structural stigma and healthcare provider attitudes towards WWID in Ukraine.
- To identify factors influencing provider perceptions and biases.
Main Methods:
- Qualitative interviews with 41 medical and social service providers.
- Conducted in two cities in central and eastern Ukraine between December 2017 and October 2018.
Main Results:
- Provider stigma correlates with familiarity with drug use and infectious diseases.
- Professional experience with WWID and personal relatable experiences influence attitudes.
- Providers struggle to balance a chronic disease model of substance use with societal biases.
Conclusions:
- Eliminating healthcare stigma requires addressing societal biases viewing substance use as a moral failing.
- Healthcare regulations should prioritize high-quality care for WWID over control.
- Fostering supportive environments can reduce structural stigma in healthcare settings.
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